The nurse is planning care for a pediatric client diagnosed with human immunodeficiency virus (HIV). The nurse selects Risk for Infection as a priority nursing diagnosis for this pediatric client
Based on this nursing diagnosis, which actions by the nurse are appropriate?
Select all that apply.
A) Administering tuberculosis skin tests every six months
B) Teaching proper food-handling techniques to the family
C) Instructing on the importance of consuming ample fresh fruits and vegetables
D) Assessing the health status of all visitors
E) Monitoring hand-washing techniques used by the famly
Answer: B, D, E
A client with HIV is at risk for a myriad of bacterial, viral, fungal, and opportunistic infections because of the effect of the virus on the immune system. The nurse teaches the family to keep those who have symptoms of illness away from the child and also instructs them in proper hand-washing technique and proper food handling to prevent infection. Tuberculosis skin tests should be administered annually, not every six months. Fresh fruits and vegetables are not recommended for a client with a depressed immune system.
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By protecting the information in a patient's record, the nurse fulfills the ethical responsibility of:
a. privacy. b. disclosure. c. confidentiality. d. absolute secrecy.
While completing an admission assessment, the nurse learns that a female adult patient has smoked one pack/day for 20 years and works at a chemical plant. From this information, what is this patient at risk for developing?
1. Decreased fertility 2. Increased life expectancy because she is female 3. No difference in risk because of social and occupational circumstances 4. Environmental and occupational hazards that may affect life expectancy
Which statement about performing a pediatric physical assessment is correct for a school-age child? Select all that apply
a. Physical examinations proceed systematically from head to toe. b. The physical examination should be done with parents in the waiting room. c. Measurement of head circumference is obtained. d. The physical examination is done only when the child is cooperative. e. Remove clothing and have the child put on an examination gown.
A child is receiving a seasonal influenza vaccination administered by nasal inhalation. What type of immunity is expected to develop as a result of this vaccination method?
a. Artificially acquired passive immunity b. Artificially acquired active immunity c. Naturally acquired passive immunity d. Naturally acquired active immunity